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Ann Thorac Surg 2003;76:2168-2169
© 2003 The Society of Thoracic Surgeons

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Correspondence

Assessment of different procedures for surgical left atrial appendage exclusion

^a Department of Cardiology Hôpital de la Cavale Blanche, Boulevard Tanguy Prigent 29609 Brest Cedex, France
^b Department of Cardiovascular Surgery, Hôpital de la Cavale, Blanche, France

e-mail: jean-jacques.blanc@univ-brest.fr

The first 20% of the full text of this article appears below.

To the Editor:

Stroke is the most fearsome complication of atrial fibrillation (AF). In a current review published in 1996, Blackshear and Odell [1] reported that the source of 91% of nonrheumatic AF–related left atrial thrombi was the left atrial appendage (LAA), and the authors subsequently concluded that LAA obliteration could be a strategy potentially valuable for stroke prevention in nonrheumatic AF. After examining this study, we decided to obliterate the LAA in the course of routine cardiac surgical procedures when patients had permanent or transient AF (in the absence of LAA thrombus). In the first series of 20 patients . . . [Full Text of this Article]

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